Type Full Name :
Sign With Hand
City
All applicants must submit a Rabies Certificate valid through November 1st of the licensing year and a Spayed/Neutered Certificate (if applicable). In case of a Vaccination Exempt situation, proof of exemption is necessary.
Please specify application type*
Address *
Hair Length *
Certification
Age
Cat Information
Name *
Phone # *
Last Name *
Size
Amount Due
State
Applicant Signature *
Rabies Expiration Date *
Note that payment must be received in full before a Cat License and Registration Tags can be issued.  
Previous License Number (if known)
Sex *
Address 2
Vaccination Information
Spayed/Neutered? *
{[CNAME]}
If "Other", specify
Microchip #
{[PNAME]}
I acknowledge that all statements made herein are accurate and that this application will not be accepted as submitted until all required documents are remitted, and all applicable fees are paid.   I acknowledge that if no payment is made within 72 hours of this application, it will be deemed null and void, and I will be required to resubmit a new application.
Applications paid via credit card are subject to a $3.00 Processing Fee.
ZIP
Fee Schedule
Type Fee
Spayed/Neutered Cat $   8.00
Unaltered Cat $ 12.00
Late Fee starting February 1st of the licensing year $ 10.00
Breed *
Payment Method *
Required Documents *
Color and Markings *
Specify Address where BOTH Cat and Owner reside *
Valid Y/N
First Name *
Email *
Owner Information
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Is Rabies Vaccination Exempt? *
Rabies Vaccination Date *